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BRENDA BLAKE-JOHNSON
NPI 1003408808
Counselor - Professional in Phoenix, AZ

Active since February 03, 2021PECOS EnrolledAccepts Medicare Assignment
8410 W THOMAS RD STE 116, PHOENIX, AZ 85037(602) 258-6797 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Feb 3, 2021 (2 updates tracked since 2021).

About Brenda Blake-johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA BLAKE-JOHNSON (NPI 1003408808) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (23246) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003408808
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRENDA BLAKE-JOHNSON
Location Address8410 W THOMAS RD STE 116Phoenix, AZ 85037-3356
Mailing Address3877 N 7th St Ste 400Phoenix, AZ 85014-5061 · (602) 258-6797
Phone(602) 258-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 3, 2021
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1003408808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · 23246
8410 W THOMAS RD STE 116, Phoenix, AZ 85037
Open in Google Maps ↗

Secondary Practice Location 1

Location 12423 W Dunlap Ave Ste 140Phoenix, AZ 85021-5818 · Phone (602) 279-5351 · Fax (602) 279-5361

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenda Blake-johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052858172
PECOS Enrollment IDI20240806003487
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERI PERKINS
Counselor (Mental Health)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 635-7130
JESSICA GARCIA NP
Nurse Practitioner (Psychiatric/Mental Health)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797
DR. JESSICA S. NEGRON PSY. D.
Psychologist (Clinical)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797
MARILUZ GRULLON MS
Counselor (Mental Health)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797
ELIZABETH MOORE MA, LAC, BHP
Counselor (Professional)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797
VALLE DEL SOL, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797
LESLIE SALDANA
Dietitian, Registered
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-9924
MS. YOLANDA ARZATE MUNOZ LCSW
Social Worker (Clinical)
8410 W THOMAS RD STE 116
PHOENIX, AZ 85037
Maricopa County (602) 258-6797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Blake-johnson's NPI number?

The NPI number for Brenda Blake-johnson is 1003408808. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Brenda Blake-johnson located?

Brenda Blake-johnson practices at 8410 W Thomas Rd Ste 116, Phoenix, AZ 85037. The listed phone number is (602) 258-6797.

What is Brenda Blake-johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brenda Blake-johnson enrolled in Medicare?

Yes. Brenda Blake-johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brenda Blake-johnson accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Brenda Blake-johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brenda Blake-johnson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.